Organization
SMART BRAIN AGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM DENBOER (AO)
(602) 510-9217
Entity
Organization
Contact information
Practice address
8130 E CACTUS RD STE 250, SCOTTSDALE, AZ 85260-5263
(480) 993-3879
(480) 935-0964
Mailing address
8130 E CACTUS RD STE 250, SCOTTSDALE, AZ 85260-5263
(480) 993-3879
(480) 935-0964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
09/06/2023
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